Healthcare Provider Details
I. General information
NPI: 1790079408
Provider Name (Legal Business Name): ALABAMA HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2011
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3419 COLONNADE PKWY STE 500
BIRMINGHAM AL
35243-3374
US
IV. Provider business mailing address
PO BOX 43189
BIRMINGHAM AL
35243-0189
US
V. Phone/Fax
- Phone: 205-203-0000
- Fax:
- Phone: 205-203-0000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEPHEN
SILVER
Title or Position: BUSINESS MANAGER
Credential:
Phone: 205-203-0000